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NPI Code Detail

MEDICARE: ANITA CARONNA LPC

MEDICARE: ANITA CARONNA LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6408CO
2101YP2500XProfessional CounselorLPC.0006408CO

General Provider Information

NPI Number : 1437410776
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANITA CARONNA LPC
Provider Business Mailing Address
First Line : 1693 QUENTIN ST
Second Line :
City : AURORA
State : CO
Zip : 80045-2518
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1693 QUENTIN ST
Second Line :
City : AURORA
State : CO
Zip : 80045-2518
Country : US
Telephone Number : 720-848-8307
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2012
Last Update Date : 10/09/2022

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Directions to “ ANITA CARONNA LPC” Practice Location

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